El Dorado Truecare Pharmacy

LBN: El Dorado Pharmacy Inc
El Dorado Truecare Pharmacy is an health care organization with primary practice located at 205 N Vine St , El Dorado KS 67042-2055. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. El Dorado Pharmacy Inc can be contacted via phone (316) 321-5330, or through Bellesine, Michael via phone (316) 321-5330.

Contact Information

Primary practice address
205 N Vine St El Dorado KS 67042-2055
Phone: (316) 321-5330
Fax: (316) 321-1254
Website:
Map and Directions
Authorized official contact:
Name: Bellesine, Michael
Phone: (316) 321-5330

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 209578 Kansas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1053378513
LBN Legal business name El Dorado Pharmacy Inc
DBA Doing business as El Dorado Truecare Pharmacy
Authorized official Bellesine, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Feb 20th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053378513 NPPES
Other 2030748 PK
MEDICAID 100444860 PK

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